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Laparoscopic Bowel Surgery Registry. Preliminary results
A E Ortega1, R W Beart, G D Steele
1University of Southern California, Los Angeles, USA.
Diseases of the Colon and Rectum
|July 1, 1995
Summary
Laparoscopic colectomy shows acceptable acute complications, similar to open surgery. However, its long-term effectiveness for colon and rectal cancer management requires further investigation.
Area of Science:
- Colorectal Surgery
- Minimally Invasive Procedures
- Surgical Oncology
Background:
- Laparoscopic surgery has advanced significantly since 1989.
- A joint registry was established by major surgical societies to track laparoscopic colectomy practices and complications.
Purpose of the Study:
- To identify early patterns of practice in laparoscopic colectomy.
- To assess acute complications associated with laparoscopic colectomy.
Main Methods:
- Voluntary case registration by community and academic surgeons.
- Data entry into the EPI-5 database for analysis.
Main Results:
- 1,056 cases were registered by 118 surgeons; 763 were completed laparoscopically.
- Cancer was the most frequent indication (453 patients); right colon and sigmoid resections were common.
- Intraoperative complications were comparable in type and frequency to open surgery.
Conclusions:
- Laparoscopic colorectal surgery can be performed with acceptable acute complication rates.
- The long-term adequacy of laparoscopic surgery for colon and rectal cancer management remains uncertain.